scholarly journals Factors associated with maternal mortality from sepsis in a low-resource setting: a five-year review at Mpilo Central Hospital, Bulawayo, Zimbabwe

2019 ◽  
Vol 50 (1) ◽  
pp. 12-15
Author(s):  
Solwayo Ngwenya
Keyword(s):  
Maternal Mortality ◽  
Reproductive Age ◽  
Central Hospital ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Factors Associated ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Mpilo Central Hospital

Sepsis remains a major cause of maternal deaths globally. It is one of the major causes of maternal morbidity and mortality in women of reproductive age. It is important that such a major contributor is studied in low-resource settings. The aims of this study were to document the percentage of maternal deaths from sepsis among the total number of maternal deaths in a low-resource setting and to determine factors associated with maternal mortality from sepsis at Mpilo Central Hospital. This was a retrospective, descriptive, cross-sectional study carried out at Mpilo Central Hospital. Nearly one-third (29.3%) of maternal deaths were due to sepsis. The major factor associated with maternal mortality was post-abortal sepsis (41.7%).

scholarly journals Early onset severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Solwayo Ngwenya ◽  
Brian Jones ◽  
Desmond Mwembe ◽  
Cladnos Mapfumo ◽  
Akinbowale Familusi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Early Onset ◽  
Mode Of Delivery ◽  
Adverse Outcomes ◽  
Severe Preeclampsia ◽  
Central Hospital ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Mpilo Central Hospital

Abstract Objectives Early-onset severe preeclampsia is associated with significant maternal and perinatal morbidity and mortality especially in low-resource settings, where women have limited access to antenatal care. This dataset was generated from a retrospective cross-sectional study carried out at Mpilo Central Hospital, covering the period February 1, 2016 to July 30, 2018. The aim of the study was to determine the incidence of early-onset severe preeclampsia and eclampsia, and associated risk factors in a low-resource setting. The reason for examining the incidence of preeclampsia specifically in a low-resource setting; was to document it as women in these settings appear to suffer from poor outcomes. Data description The dataset contains data of 238 pregnant women who had a diagnosis of early onset severe preeclampsia/eclampsia. There were 243 babies from singleton and twin gestations. There were five sets of twins. There were 21,505 live births during the study period giving an incidence of 1.1%. The dataset contains data on maternal socio-demographic, signs and symptoms, therapeutic interventions and mode of delivery, adverse outcomes characteristics, and fetal characteristics. This large dataset can be used to calculate the incidence and risk factors for adverse maternal and fetal outcomes or develop predictive models in severe preeclampsia/eclampsia.

Stillbirth rate and causes in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe

2018 ◽  
Vol 48 (4) ◽  
pp. 310-313
Author(s):  
Solwayo Ngwenya
Keyword(s):  
Case Definition ◽  
Stillbirth Rate ◽  
Central Hospital ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Tertiary Teaching ◽  
Abruptio Placenta ◽  
Term Labour ◽  
Mpilo Central Hospital

A global concern is to end preventable stillbirths by the year 2030. The objective of this study was to document the stillbirth rate and causes of stillbirths in a low-resource setting. This was a retrospective descriptive study carried out at Mpilo Central Hospital, a tertiary teaching referral government hospital in Bulawayo, Zimbabwe during the period January to December 2016. There were 8801 live births and 268 stillbirths (rate: 30.5/1000). The majority(81.3%) were macerated. Pre-term labour, pre-eclampsia, eclampsia and abruptio placenta accounted for 51.1%. In 29.9%, the cause could not be identified. A high proportion of macerated stillbirths were unexplained; hence this calls for a renewed focus on community-based approaches to reduce delays in seeking care. Investment in robust diagnostic means and further training of healthcare workers to improve case definition are both urgently required.

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